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  1. Article ; Online: Investigation of the differentiation potential of pericyte cells as an alternative source of mesenchymal stem cells.

    Polat, Selen / Yazir, Yusufhan / Duruksu, Gökhan / Kiliç, Kamil Can / Mert, Serap / Gacar, Gülçin / Öncel Duman, Büşra / Halbutoğullari, Zehra Seda

    Acta histochemica

    2024  Volume 126, Issue 3, Page(s) 152145

    Abstract: Background: The mesenchymal stem cells (MSCs) with characterized by their multipotency and capacity to differentiate into various tissue cell types, have led to their incorporation in regenerative medicine research. However, the limited numbers of MSCs ... ...

    Abstract Background: The mesenchymal stem cells (MSCs) with characterized by their multipotency and capacity to differentiate into various tissue cell types, have led to their incorporation in regenerative medicine research. However, the limited numbers of MSCs in the human body and their diverse differentiation capabilities in tissues highlight the need for exploring alternative regenerative cell sources. In this study, therefore, we conducted molecular level examinations to determine whether pericytes, specialized cell communities situated near blood vessels, could serve as a substitute for human bone marrow-derived mesenchymal stem cells (hBM-MSCs). In this context, the potential application of pericytes surrounds the vessels when MSCs are insufficient for functional purposes.
    Methods: The pericytes utilized in this investigation were derived from the placenta and characterized at the third passage. Similarly, the hBM-MSCs were also characterized at the third passage. The pluripotent properties of the two cell types were assessed at the gene expression level. Thereafter, both pericytes and hBM-MSCs were directed towards adipogenic, osteogenic and chondrogenic differentiation. The cells in both groups were examined on days 7, 14, and, 21 and their differentiation status was compared both immunohistochemically and through gene expression analysis.
    Results: Upon comparing the pluripotency characteristics of placental pericytes and hBM-MSCs, it was discovered that there was a substantial upregulation of the pluripotency genes FoxD3, Sox2, ZPF42, UTF1, and, Lin28 in both cell types. However, no significant expression of the genes Msx1, Nr6a1, Pdx1, and, GATA6 was observed in either cell type. It was also noted that pericytes differentiate into adipogenic, osteogenic and, chondrogenic lineages similar to hBM-MSCs.
    Discussion: As a result, it has been determined that pericytes exhibit high differentiation and proliferation properties similar to those of MSCs, and therefore can be considered a suitable alternative cell source for regenerative medicine and tissue engineering research, in cases where MSCs are not available or insufficient. It is notable that pericytes have been suggested as a potential substitute in studies where MSCs are lacking.
    Language English
    Publishing date 2024-03-02
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 77-2
    ISSN 1618-0372 ; 0065-1281
    ISSN (online) 1618-0372
    ISSN 0065-1281
    DOI 10.1016/j.acthis.2024.152145
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  2. Article ; Online: Postoperative acute kidney injury in living donor liver transplantation recipients.

    Atalan, Hakan K / Gucyetmez, Bulent / Aslan, Serdar / Yazar, Serafettin / Polat, Kamil Y

    The International journal of artificial organs

    2017  

    Abstract: Purpose: There are many risk factors for postoperative acute kidney injury in liver transplantation. The aim of this study is to investigate the risk factors for postoperative acute kidney injury in living donor liver transplantation recipients.: ... ...

    Abstract Purpose: There are many risk factors for postoperative acute kidney injury in liver transplantation. The aim of this study is to investigate the risk factors for postoperative acute kidney injury in living donor liver transplantation recipients.
    Methods: 220 living donor liver transplantation recipients were retrospectively evaluated in the study. According to the Kidney Disease Improving Global Outcomes Guidelines, acute kidney injury in postoperative day 7 was investigated for all patients. The patient's demographic data, preoperative and intraoperative parameters, and outcomes were recorded.
    Results: Acute kidney injury was found in 27 (12.3%) recipients. In recipients with acute kidney injury, female population, model for end-stage liver disease score, norepinephrine requirement, duration of mean arterial pressure less than 60 mmHg, the usage of gelatin and erythrocyte suspension and blood loss were significantly higher than recipients with nonacute kidney injury (for all p<0.05). In multivariate analyses, the likelihood of acute kidney injury on postoperative day 7 were increased 2.8-fold (1.1-7.0), 2.7-fold (1.02-7.3), 3.4-fold (1.2-9.9) and 5.1-fold (1.7-15.0) by postoperative day 7, serum tacrolimus level ≥10.2 ng dL-1, intraoperative blood loss ≥14.5 mL kg-1, the usage of gelatin >5 mL kg-1 and duration of MAP less than 60 mmHg ≥5.5 minutes respectively (for all p<0.05).
    Conclusions: In living donor liver transplantation recipients, serum tacrolimus levels, intraoperative blood loss, hypotension period and the usage of gelatin may be risk factors for acute kidney injury in the early postoperative period.
    Language English
    Publishing date 2017-09-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80456-3
    ISSN 1724-6040 ; 0391-3988
    ISSN (online) 1724-6040
    ISSN 0391-3988
    DOI 10.5301/ijao.5000638
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  3. Article ; Online: The presence of chronic inflammation in positive prostate biopsy is associated with upgrading in radical prostatectomy.

    Guner, Ekrem / Danacioglu, Yavuz Onur / Arikan, Yusuf / Seker, Kamil Gokhan / Polat, Salih / Baytekin, Halil Firat / Simsek, Abdulmuttalip

    Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica

    2021  Volume 93, Issue 3, Page(s) 280–284

    Abstract: Objective: This study aimed to determine the predictive effect of the presence of chronic prostatitis associated with prostate cancer (PCa) in prostate biopsy on Gleason score upgrade (GSU) in radical prostatectomy (RP) specimens.: Materials and ... ...

    Abstract Objective: This study aimed to determine the predictive effect of the presence of chronic prostatitis associated with prostate cancer (PCa) in prostate biopsy on Gleason score upgrade (GSU) in radical prostatectomy (RP) specimens.
    Materials and methods: The data of 295 patients who underwent open or robotic RP with a diagnosis of localized PCa following biopsy were retrospectively analyzed. Patients were divided into two groups with and without GSU following RP. Predictive factors affecting GSU on biopsy were determined. The impact of chronic prostatitis associated with prostate cancer on GSU was examined via logistic regression analysis.
    Results: Out of 224 patients with Gleason 3+3 scores on biopsy, 145 (64.7%) had Gleason upgrade, and 79 (35.2%) had no upgrade. Whilst comparing the two groups with and without Gleason upgrade in terms of patient age, prostate-specific antigen (PSA) value, PSA density (PSAD), prostate volume (PV), neutrophil/lymphocyte (N/L) ratio, number of positive cores, percentage of positive cores, and Prostate Imaging Reporting and Data System version 2 score, no statistically significant difference was detected. The presence of chronic prostatitis associated with PCa was higher in the patient cohort with GSU in contrast to the other group (p < 0.001). According to the univariate logistic regression analysis, the presence of chronic prostatitis was identified to be an independent marker for GSU.
    Conclusions: Pathologists and urologists should be careful regarding the possibility of a more aggressive tumor in the presence of chronic inflammation associated with PCa because inflammation within PCa was revealed to be linked with GSU after RP.
    MeSH term(s) Biopsy ; Humans ; Inflammation ; Male ; Prostate/surgery ; Prostatectomy ; Retrospective Studies
    Language English
    Publishing date 2021-09-30
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 1153526-x
    ISSN 2282-4197 ; 1120-8538 ; 1124-3562
    ISSN (online) 2282-4197
    ISSN 1120-8538 ; 1124-3562
    DOI 10.4081/aiua.2021.3.280
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  4. Article ; Online: Changing trends in the etiology of liver transplantation in Turkiye: A multicenter study.

    Akarsu, Mesut / Dolu, Suleyman / Harputluoglu, Murat / Yilmaz, Sezai / Akyildiz, Murat / Gencdal, Genco / Polat, Kamil Yalcin / Dincer, Dinc / Adanir, Haydar / Turan, Ilker / Gunsar, Fulya / Karasu, Zeki / Gokcan, Hale / Karademir, Sedat / Kabacam, Gokhan / Kayhan, Meral Akdogan / Kiyici, Murat / Gulsen, Murat Taner / Balaban, Yasemin /
    Dogrul, Ahmet Bulent / Senkaya, Ali / Ellik, Zeynep Melekoglu / Eren, Fatih / Idilman, Ramazan

    Hepatology forum

    2024  Volume 5, Issue 1, Page(s) 3–6

    Abstract: Background and aim: This study aimed to identify the indications for liver transplantation (LT) based on underlying etiology and to characterize the patients who underwent LT.: Materials and methods: We conducted a multicenter cross-sectional ... ...

    Abstract Background and aim: This study aimed to identify the indications for liver transplantation (LT) based on underlying etiology and to characterize the patients who underwent LT.
    Materials and methods: We conducted a multicenter cross-sectional observational study across 11 tertiary centers in Turkiye from 2010 to 2020. The study included 5,080 adult patients.
    Results: The mean age of patients was 50.3±15.2 years, with a predominance of female patients (70%). Chronic viral hepatitis (46%) was the leading etiological factor, with Hepatitis B virus infection at 35%, followed by cryptogenic cirrhosis (24%), Hepatitis C virus infection (8%), and alcohol-related liver disease (ALD) (6%). Post-2015, there was a significant increase in both the number of liver transplants and the proportion of living donor liver transplants (p<0.001). A comparative analysis of patient characteristics before and after 2015 showed a significant decline in viral hepatitis-related LT (p<0.001), whereas fatty liver disease-related LT significantly increased (p<0.001).
    Conclusion: Chronic viral hepatitis continues to be the primary indication for LT in Turkiye. However, the proportions of non-alcoholic fatty liver disease (NAFLD) and ALD-related LT have seen an upward trend over the years.
    Language English
    Publishing date 2024-01-16
    Publishing country Turkey
    Document type Journal Article
    ISSN 2757-7392
    ISSN (online) 2757-7392
    DOI 10.14744/hf.2023.2023.0010
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  5. Article: Hepatic alveolar echinococcosis: clinical report from an endemic region.

    Polat, Kamil Y / Balik, Ahmet A / Celebi, Fehmi

    Canadian journal of surgery. Journal canadien de chirurgie

    2002  Volume 45, Issue 6, Page(s) 415–419

    Abstract: Objective: To review the clinical management of alveolar echinococcosis.: Design: A retrospective analysis.: Setting: A university-affiliated hospital in Turkey.: Patients: Forty patients treated for alveolar echinococcosis between 1987 and ... ...

    Abstract Objective: To review the clinical management of alveolar echinococcosis.
    Design: A retrospective analysis.
    Setting: A university-affiliated hospital in Turkey.
    Patients: Forty patients treated for alveolar echinococcosis between 1987 and 2000.
    Interventions: Curative resection followed by chemotherapy, or medical palliation with chemotherapy only. Palliative procedures such as bilioenteric or external drainage were done for cholestatic jaundice and liver abscess.
    Outcome measures: Results of medical and surgical treatment.
    Results: Seventeen patients had a resectable tumour and all underwent curative resection. Of the other 23 patients with nonresectable tumour, 11 underwent palliative surgical procedures such as bilioenteric or external drainage for cholestatic jaundice or liver abscess. All patients received long-term albendazole therapy. Four patients with nonresectable tumour died because of chronic liver failure. In a 6.5-year follow-up, there was no recurrence in patients who underwent curative resection. The efficacy of chemotherapy is limited in nonresectable disease.
    Conclusions: To increase the rate of early detection and curative resection, screening programs are essential. Research on new chemotherapeutic approaches should be made to improve survival in patients with nonresectable disease.
    MeSH term(s) Adolescent ; Adult ; Aged ; Albendazole/therapeutic use ; Anthelmintics/therapeutic use ; Echinococcosis, Hepatic/diagnosis ; Echinococcosis, Hepatic/diagnostic imaging ; Echinococcosis, Hepatic/drug therapy ; Echinococcosis, Hepatic/surgery ; Female ; Humans ; Male ; Middle Aged ; Tomography, X-Ray Computed
    Chemical Substances Anthelmintics ; Albendazole (F4216019LN)
    Language English
    Publishing date 2002-12
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 410651-9
    ISSN 0008-428X
    ISSN 0008-428X
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  6. Article: Demographic, Clinical, and Angiographic Characteristics of Atrial Fibrillation Patients Suffering From de novo Acute Myocardial Infarction: A Subgroup Analysis of the MINOCA-TR Study Population.

    Coner, Ali / Ekmekci, Cenk / Aydin, Gokhan / Kilavuz Dogan, Yasemin / Arican Ozluk, Ozlem / Kilic, Salih / Celik, Yunus / Ungan, Ismail / Begenc Tascanov, Mustafa / Duz, Ramazan / Polat, Veli / Ozkan, Hakan / Ozyasar, Mehmet / Tuluce, Kamil / Icli, Abdullah / Kurt, Devrim / Cetin, Nurullah / Gul, Murat / Inci, Sinan /
    Zoghi, Mehdi / Ergene, Oktay / Onsel Turk, Ugur

    Journal of atrial fibrillation

    2021  Volume 13, Issue 6, Page(s) 20200468

    Abstract: Background: Atrial fibrillation (AF) prevalence in patients with acute myocardial infarction (MI) ranges from 3% to 25%. However demographic, clinical, and angiographic characteristics of AF patients who admitted with de novo MI are unclear. The aim of ... ...

    Abstract Background: Atrial fibrillation (AF) prevalence in patients with acute myocardial infarction (MI) ranges from 3% to 25%. However demographic, clinical, and angiographic characteristics of AF patients who admitted with de novo MI are unclear. The aim of this study was to investigate the prevalence of patients presenting with de novo MI with AF.
    Methods: The study was performed as a sub-study of the MINOCA-TR (Myocardial Infarction with Non-obstructive Coronary Arteries in Turkish Population) Registry, a multicenter, cross-sectional, observational, all-comer registry. MI patients without a known history of stable coronary artery disease and/or prior coronary revascularization were enrolled in the study. Patients were divided into AF and Non-AF groups according to presenting cardiac rhythm.
    Results: A total of 1793 patients were screened and 1626 were included in the study. The mean age was 61.5 (12.5) years. 70.7% of patients were men. The prevalence of AF was 3.1% (51 patients). AF patients were older [73.4 (9.4) vs. 61.0 (12.4) years, p<0.001] than non-AF patients. The proportion of women to men in the AF group was also higher than in the non-AF group (43.1% vs. 28.7%, p=0.027). Only 1 out of every 5 AF patients (10 patients, 19.6%) was using oral anticoagulants (OAC).
    Conclusions: AF prevalence in patients presenting with de novo MI was lower than previous studies that issued on AF prevalence in MI cohorts. The majority of AF patients did not have any knowledge of their arrhythmia and were not undergoing OAC therapy at admission, emphasizing the vital role of successful diagnostic strategies, patient education, and implementations for guideline adaptation.
    Language English
    Publishing date 2021-04-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2451936-4
    ISSN 1941-6911
    ISSN 1941-6911
    DOI 10.4022/jafib.20200468
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  7. Article: Association between hepatic alveolar echinococcosis and frequency of human leukocyte antigen class I and II alleles in Turkish patients.

    Aydinli, Bulent / Pirim, Ibrahim / Polat, Kamil Y / Gursan, Nesrin / Atamanalp, Sabri S / Ezer, Mehmet / Donmez, Ramazan

    Hepatology research : the official journal of the Japan Society of Hepatology

    2007  Volume 37, Issue 10, Page(s) 806–810

    Abstract: Background: Human alveolar echinococcosis (AE) is a potentially fatal, chronically progressive hepatic infestation that is characterized by a long asymptomatic period in which an invasive tumor-like lesion develops. Several studies have suggested that ... ...

    Abstract Background: Human alveolar echinococcosis (AE) is a potentially fatal, chronically progressive hepatic infestation that is characterized by a long asymptomatic period in which an invasive tumor-like lesion develops. Several studies have suggested that genetic susceptibility to AE may be linked to HLA class II alleles. We investigated the association between AE and antigen HLA-A, B, C, DR and DQ profiles of patients with hepatic AE (HAE) in the eastern part of Turkey.
    Methods: This case-controlled study was performed on 44 unrelated patients with HAE and 76 control subjects. The diagnosis was supported by clinical, radiological, and histopathological evidence. The association of class I and class II HLA antigens was examined in the patients with HAE and control subjects.
    Results: There was an increase in the antigen frequencies of HLA-DRB1*15, HLA-DQB1*02, 06, 07 in the HAE patientscompared with those in the control group (P < 0.05, P < 0.001, P < 0.01, P < 0.05, respectively). HLA-DQB1*02, 06, 07 were more frequent in patients with stages III and IV who were classified according to the PNM staging system.
    Conclusions: The present study indicates that susceptibility to HAE in the Turkish population is essentially HLA class II and poorly class I mediated, with HLA-26, and DRB1*015, DQB1* 02, 06, 07 with more allele distribution in the patient group. Our results are not similar to those of other studies, but contribute to the discussions on the association of HLA class I and class II alleles with AE.
    Language English
    Publishing date 2007-06-15
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1387041-5
    ISSN 1386-6346 ; 0928-4346
    ISSN 1386-6346 ; 0928-4346
    DOI 10.1111/j.1872-034X.2007.00137.x
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  8. Article ; Online: Liver transplantation from living donors with Gilbert's syndrome is a safe procedure for both donors and recipients.

    Tanoglu, Alpaslan / Artis, Tarik / Donmez, Ramazan / Kargi, Ahmet / Sit, Mustafa / Aslan, Serdar / Yazar, Serafettin / Beyazit, Yavuz / Polat, Kamil Yalcin

    Clinical transplantation

    2015  Volume 29, Issue 11, Page(s) 965–970

    Abstract: Liver transplantation (LT) has become a favorable therapeutic option for patients with end-stage liver diseases. Gilbert's syndrome (GS) is a benign condition characterized by intermittent mild jaundice due to unconjugated hyperbilirubinemia. It is not ... ...

    Abstract Liver transplantation (LT) has become a favorable therapeutic option for patients with end-stage liver diseases. Gilbert's syndrome (GS) is a benign condition characterized by intermittent mild jaundice due to unconjugated hyperbilirubinemia. It is not obvious whether living-donor liver transplantation (LDLT) from a donor with GS could result in a normal outcome for both the recipient and the donor. We aimed to determine whether right lobe hepatectomy is a safe procedure for living donors with GS and LT recipients. Between September 2011 and March 2015, 305 LDLT procedures using right lobe grafts were performed at Atasehir Memorial Hospital, Istanbul, Turkey. Nineteen of 305 LT candidates who had been diagnosed with GS were included in the current study. After a 12-h overnight fast, total and indirect bilirubin levels of donors and recipients were measured. The median follow-up after transplant was 16 months (range 3-36 months). The median age of donors was 25 (range 20-55 yr). Four donors (21%) were female, and 15 donors (89%) were male. The median age of donors was 51 (range 23-68 yr). Eleven recipients (57%) were female, and 8 (43%) were male. The median preoperative total bilirubin level of donors was 1.69 mg/dL (range 1.26-2.43 mg/dL) (normal range <1.2 mg/dL). The median total bilirubin level of donors on postoperative day 7 was 1.04 mg/dL (range 0.71-3.23 mg/dL). As our study has included a large number of donors with GS, it produced reliable evidence that right lobe hepatectomy is a safe procedure for living donors with GS and LT recipients.
    MeSH term(s) Adult ; Aged ; Donor Selection ; End Stage Liver Disease/surgery ; Female ; Follow-Up Studies ; Gilbert Disease/surgery ; Hepatectomy ; Humans ; Liver Function Tests ; Liver Transplantation ; Living Donors ; Male ; Middle Aged ; Prognosis ; Young Adult
    Language English
    Publishing date 2015-11
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 639001-8
    ISSN 1399-0012 ; 0902-0063
    ISSN (online) 1399-0012
    ISSN 0902-0063
    DOI 10.1111/ctr.12615
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  9. Article: The importance of local subcutaneous fat thickness in pilonidal disease.

    Balik, Ozgul / Balik, Ahmet A / Polat, Kamil Y / Aydinli, Bulent / Kantarci, Mecit / Aliagaoglu, Cihangir / Akcay, Mufide N

    Diseases of the colon and rectum

    2006  Volume 49, Issue 11, Page(s) 1755–1757

    Abstract: Purpose: This study was designed to investigate the local subcutaneous fat thickness in sacrococcygeal pilonidal disease.: Methods: Subcutaneous fat thickness was measured by ultrasonography in 125 patients with sacrococcygeal pilonidal disease and ... ...

    Abstract Purpose: This study was designed to investigate the local subcutaneous fat thickness in sacrococcygeal pilonidal disease.
    Methods: Subcutaneous fat thickness was measured by ultrasonography in 125 patients with sacrococcygeal pilonidal disease and 125 age-matched, body mass index-matched and gender-matched controls.
    Results: The sacrococcygeal subcutaneous fat thickness was 14.4 +/- 2.9 mm, 18.3 +/- 3.1 mm, and 22 +/- 2.2 mm, respectively, in normal, overweight, and obese patients with sacrococcygeal pilonidal disease and 9.1 +/- 3.1 mm, 11.3 +/- 2.6 mm, and 20 +/- 1.8 mm, respectively, in normal, overweight, and obese controls. Sacrococcygeal fat was significantly thicker in normal and overweight patients with pilonidal disease compared with controls with same body mass index (P< 0.01). There were no significant differences in fat thickness between obese patients and obese controls (P > 0.05).
    Conclusions: Sacrococcygeal fat thickness, as a local factor, is closely associated with pilonidal disease.
    MeSH term(s) Adult ; Body Mass Index ; Case-Control Studies ; Humans ; Male ; Obesity/pathology ; Overweight ; Pilonidal Sinus/pathology ; Pilonidal Sinus/therapy ; Sacrococcygeal Region ; Subcutaneous Fat/diagnostic imaging ; Ultrasonography
    Language English
    Publishing date 2006-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 212581-x
    ISSN 1530-0358 ; 0012-3706
    ISSN (online) 1530-0358
    ISSN 0012-3706
    DOI 10.1007/s10350-006-0672-5
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  10. Article: Anterior sacral meningocele: excision by the abdominal approach.

    Tuzun, Yusuf / Izci, Yusuf / Polat, Kamil Yalçin

    Pediatric neurosurgery

    2005  Volume 41, Issue 5, Page(s) 244–247

    Abstract: Anterior sacral meningocele is a unilocular or multilocular extension of the dura mater and arachnoid out of the sacral spinal canal into the retroperitoneal and infraperitoneal space. It contains CSF, which in some of the reported cases has been ... ...

    Abstract Anterior sacral meningocele is a unilocular or multilocular extension of the dura mater and arachnoid out of the sacral spinal canal into the retroperitoneal and infraperitoneal space. It contains CSF, which in some of the reported cases has been discolored (slightly yellow), and has had an elevated protein content. Surgery with sacral laminectomy and surgery by the transabdominal approach are the treatment options for this malformation. We report a case of a 16-year-old female patient having a large anterior sacral meningocele. She underwent surgical treatment by the abdominal approach, and the meningocele sac was excised. We presented the clinical and radiological features of our patient and discussed them with reference to the literature.
    MeSH term(s) Abdomen/surgery ; Adolescent ; Female ; Humans ; Meningocele/diagnostic imaging ; Meningocele/pathology ; Meningocele/surgery ; Neurosurgical Procedures/methods ; Radiography ; Sacrococcygeal Region
    Language English
    Publishing date 2005-09
    Publishing country Switzerland
    Document type Case Reports ; Journal Article
    ZDB-ID 1091757-3
    ISSN 1423-0305 ; 1016-2291
    ISSN (online) 1423-0305
    ISSN 1016-2291
    DOI 10.1159/000087482
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